Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Wayne Johnson, DDS

Individual provider Pediatric Dentistry · NPI 1497836704

Dr. Kenneth Wayne Johnson, DDS is a Pediatric Dentistry in Tupelo, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

704 Hillcrest
Tupelo, MS 38804
Phone: (662) 840-8540
Fax: (662) 840-0629
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence PEDO29796 (MS)

Record details

NPI number1497836704
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1407 Mitts Dr, Tupelo, MS 38801-2215

Other providers in Tupelo